S T A T E O F N E W Y O R K
________________________________________________________________________
5301
2009-2010 Regular Sessions
I N A S S E M B L Y
February 11, 2009
___________
Introduced by M. of A. MORELLE -- read once and referred to the Commit-
tee on Insurance
AN ACT to amend the insurance law, in relation to coverage of a nurse
practitioner
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Clause (ii) of subparagraph (A) of paragraph 5 of
subsection (l) of section 3221 of the insurance law, as amended by chap-
ter 502 of the laws of 2007, is amended to read as follows:
(ii) where the policy provides coverage for physician services, it
shall include benefits for outpatient care provided by a psychiatrist or
psychologist licensed to practice in this state, A NURSE PRACTITIONER
CONSISTENT WITH HIS OR HER SCOPE OF PRACTICE, a licensed clinical social
worker who meets the requirements of subparagraph (D) of paragraph four
of this subsection, or a professional corporation or university faculty
practice corporation thereof. Such benefits may be limited to not less
than twenty visits in any contract year, plan year, or calendar year.
S 2. Paragraph 1 of subsection (h) of section 4303 of the insurance
law, as amended by chapter 502 of the laws of 2007, is amended to read
as follows:
(1) A medical expense indemnity corporation or a health service corpo-
ration, which provides group, group remittance or school blanket cover-
age for physician services, shall provide as part of its contract broad-
based coverage for the diagnosis and treatment of mental, nervous or
emotional disorders or ailments, however defined in such contract, at
least equal to the coverage provided for other health conditions and
shall include: benefits for outpatient care provided by a psychiatrist
or psychologist licensed to practice in this state, A NURSE PRACTITIONER
CONSISTENT WITH HIS OR HER SCOPE OF PRACTICE, a licensed clinical social
worker who meets the requirements of subsection (n) of this section, or
a professional corporation or university faculty practice corporation
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD08485-01-9
A. 5301 2
thereof, which benefits may be limited to not less than twenty visits in
any contract year, plan year or calendar year. Such coverage may be
provided on a contract year, plan year or calendar year basis and shall
be consistent with the provision of other benefits under the contract.
Such coverage may be subject to annual deductibles, co-pays and coinsu-
rance as may be deemed appropriate by the superintendent and shall be
consistent with those imposed on other benefits under the contract. In
the event the group remittance group or contract holder is provided
coverage provided under this paragraph and under subparagraph (B) of
paragraph one of subsection (g) of this section from the same health
service corporation, or under a contract which is jointly underwritten
by two health service corporations or by a health service corporation
and a medical expense indemnity corporation, the aggregate of the bene-
fits for out-patient care obtained under subparagraph (B) of paragraph
one of subsection (g) of this section and this paragraph may be limited
to not less than twenty visits in any contract year, plan year or calen-
dar year.
S 3. This act shall take effect immediately; provided that the amend-
ments to paragraph 5 of subsection (l) of section 3221 and subsection
(h) of section 4303 of the insurance law made by sections one and two of
this act shall not affect the expiration of such provisions and shall be
deemed to expire therewith.